About Us

The Krishnan family standing in fron of an old VW van

Our Family Story

When they decided to start a family, Iyer and Parvathy Krishnan weren’t aware that they both carried the hereditary genetic mutation for Lynch syndrome. As carriers, it increased the risk that not only could they pass on Lynch syndrome to their children, but their children could be born with something called Constitutional Mismatch Repair Deficiency (CMMRD).

The Krishnans would come to find out that both their children inherited Lynch syndrome, and therefore, CMMRD. This rare disease would have devastating effects on their family.

Constitutional Mismatch Repair Deficiency (CMMRD) is a hereditary cancer predisposition syndrome. All of us have genes called checkpoint inhibitors – they help our body recognize abnormal cells (like cancer cells) from healthy cells. When these genes are altered or are abnormal they make it difficult for the cells in our body to repair themselves. When our cells are damaged or new cells are formed without being checked they result in cancer. Childhood risk for all cancers especially GI cancers, brain tumors and T-cell lymphomas among others remain high.

An individual with Lynch syndrome has one copy of a defective gene and one normal gene. Individuals with CMMRD have 2 copies of defective genes (one from each parent). The lifetime risk for someone with Lynch syndrome is higher than the normal population. This means that the possibility of having cancer increases as a person gets older. 

Most individuals will be affected by cancer before they reach adulthood. Most children diagnosed with CMMRD usually present with advanced/metastatic cancers. Our children have homozygous EPCAM and from what we have been told our son is the only living entity known with this condition. 

You have a 25% chance of having a child with CMMRD, 50% chance of having a child with Lynch syndrome, and a 25% chance of having a child with neither. While this may seem like an anomaly our family had two children both with CMMRD. 

We have been at this for the last five years. For the first two years we did not know Yash had CMMRD. It was very difficult to find a team that was willing to explore why our then six-year-old had bleeding in stools and was having significant cramping. It was not until one GI doctor understood our dilemma and scoped him that we realized he had eight-hemorrhagic polyps that were blocking most of his colon. He had whole exome sequencing that did not show any alarming GI conditions. At eight when he had his colectomy we were told he had a condition called FAP. It was after his colectomy that the surgeon and GI doctor felt the need to further test him for Lynch syndrome. The first year other than a brain MRI a lot of time was not spent on CMMRD (because it wasn’t considered emergent). We had spent time helping him recover from his colectomy and pouch reversal. It was not until his motility disorder caused significant difficulty with quality of life did we choose to reach out to other experts. 

It was very difficult even then to get connected to a pediatric genetic oncologist. For the second year of this diagnosis we spent most of our time with a GI specialist who discovered additional polyps in the small intestine. It was at that time we decided to move care to a center that has both experience with genetic cancer and has seen one other child with the same. 

Genetic testing is what saved our son. Because of testing our family now has four previvors, one adult cancer survivor, and our son who continues to be a trailblazer. While there may be comfort in the unknown as a parent/caregiver to two children with rare and ultra rare diseases knowing is the first step in a long bumpy road. While there is a lot of ethical dilemma around testing, living with a known diagnosis will help you live a longer and healthier life than the unknown.

If you can please donate blood, tissue samples, personal time to supporting research initiatives. Even though we know there may not be a cure in our lifetime for CMMRD both our children (and us) will be enrolled in every possible study possible. We hope to leave a legacy for the future generation through not only awareness and advocacy but by donating to research. 

We lost our four-year-old daughter to multiple rare diseases. Knowing our son has CMMRD has helped his medical team stay ahead of his cancer and nip it in the bud. 

Unlike adult cancer childhood cancers only receive 4% of total funds raised. Our children do not have drugs or trials that are specific to them. If you have a chance as an adult with CRC please enroll in research – you may help save the life of another adult or a child. 

 

Mission.

Parenting a child with a rare disease is like planning a mission to outer space with zero funding or support. We as a family have made it our life’s goal to gather whatever resources we can to help every family on this mission.

Support.

If you can please donate blood, tissue samples, personal time to supporting research initiatives. We hope to leave a legacy for the future. generation through not only awareness and advocacy but by donating to research.

Our Team

Candi Bush

Board Member

Candi Bush currently serves as a Special Services Consultant for the Michigan Department of Health and Human Services, under the Children’s Special Health Care Services Division.  After over nine years as the Director of the Family Center for Children and Youth with Special Health Care Needs (Family Center) Candi has taken a step back from her directorship role to focus on her and her family’s health and well-being.  Prior to her role as the Director at the Family Center served for nine years as the Executive Director of a non-profit called Parent to Parent of Southwest Michigan.  Candi currently serves on multiple boards and committees throughout the State of Michigan, as well as the national Parent to Parent USA Board of Directors. In 2018, Candi was a recipient of the Association of Maternal and Child Health Programs (AMCHP) Emerging MCH Professional Award for Region V.  Candi was honored as the Outstanding Alumni of the Year for Western Michigan University in 2016.   Since 2016, Candi served as the Family Coordinator, faculty, and a mentor for Michigan’s Leadership Education in Neurodevelopmental and Related Disabilities program.  Candi was accepted into the 2015-2016 Leadership Lab through the AMCHP, Family Leadership Cohort.  In 2014, Candi was named as the Family Delegate for the State of Michigan.  Candi was also the recipient of the 2012 Exceptional Parent of the Year through the Michigan Council for Exceptional Children.  Candi is married and has two young adult sons. Candi and her family live in MI.  Candi loves spending time with family and friends, hiking, yoga, gardening, fur babies, being near the water, volunteering, and traveling. Last year at 47 years old Candi learned that she had Lynch syndrome after advocating for genetic testing due to some other health issues that she was having…which then led to her first colonoscopy.  That’s when her colorectal surgeon shared that she already had colon cancer. Candi’s two sons were then tested and diagnosed with Lynch syndrome as well. She is a survivor and a fighter and is using her personal and professional experience to increase awareness and education in the genetic cancer predisposition space.

Sam Rose

Board Member

Sam Alexandra Rose is a published author currently undertaking her PhD in creative writing and cancer survivorship. She has CMMRD and has had three different types of cancer – colon, duodenal and uterine. Sam is the Patient and Public Involvement Manager at the charity Bowel Research UK and previously spent ten years working in digital marketing.

Vanessa Bianchi

Vanessa Bianchi

Medical/Scientific Advisor

Dr. Vanessa Bianchi is the Program Manager for the International Replication Repair Deficiency Consortium (IRRDC) at The Hospital for Sick Children. With a focus on tackling the aggressive cancer predisposition syndrome CMMRD, Vanessa manages an international clinical study and biorepository with over 600 participants from 50 countries. Her leadership has led to transformative outcomes for CMMRD patients, including the development of novel diagnostic tools, assessment of surveillance protocols, and identification of genomic biomarkers for immune-based therapies. Vanessa‘s commitment to patient advocacy and her role in shaping program strategies demonstrates her dedication to advancing research and improving patient outcomes in the field of oncology.

Candi Bush

Candi Bush

Board Member

Candi Bush currently serves as a Special Services Consultant for the Michigan Department of Health and Human Services, under the Children’s Special Health Care Services Division.  After over nine years as the Director of the Family Center for Children and Youth with Special Health Care Needs (Family Center) Candi has taken a step back from her directorship role to focus on her and her family’s health and well-being.  Prior to her role as the Director at the Family Center served for nine years as the Executive Director of a non-profit called Parent to Parent of Southwest Michigan.  Candi currently serves on multiple boards and committees throughout the State of Michigan, as well as the national Parent to Parent USA Board of Directors. In 2018, Candi was a recipient of the Association of Maternal and Child Health Programs (AMCHP) Emerging MCH Professional Award for Region V.  Candi was honored as the Outstanding Alumni of the Year for Western Michigan University in 2016.   Since 2016, Candi served as the Family Coordinator, faculty, and a mentor for Michigan’s Leadership Education in Neurodevelopmental and Related Disabilities program.  Candi was accepted into the 2015-2016 Leadership Lab through the AMCHP, Family Leadership Cohort.  In 2014, Candi was named as the Family Delegate for the State of Michigan.  Candi was also the recipient of the 2012 Exceptional Parent of the Year through the Michigan Council for Exceptional Children.  Candi is married and has two young adult sons. Candi and her family live in MI.  Candi loves spending time with family and friends, hiking, yoga, gardening, fur babies, being near the water, volunteering, and traveling. Last year at 47 years old Candi learned that she had Lynch syndrome after advocating for genetic testing due to some other health issues that she was having…which then led to her first colonoscopy.  That’s when her colorectal surgeon shared that she already had colon cancer. Candi’s two sons were then tested and diagnosed with Lynch syndrome as well. She is a survivor and a fighter and is using her personal and professional experience to increase awareness and education in the genetic cancer predisposition space.

Sam Rose

Board Member

Sam Alexandra Rose is a published author currently undertaking her PhD in creative writing and cancer survivorship. She has CMMRD and has had three different types of cancer – colon, duodenal and uterine. Sam is the Patient and Public Involvement Manager at the charity Bowel Research UK and previously spent ten years working in digital marketing.

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